Also known as:adjusts · adjusted · adjusting · adjuster · adjusters · adjustor
Written by attorneys — see sources below.
2 senses
1
insurance claim settlement
To determine the amount payable to cover a loss under a policy by investigating the claim and negotiating any settlement amount.
2
modify or adapt
Sense 1
1
insurance claim settlement
To determine the amount payable to cover a loss under a policy by investigating the claim and negotiating any settlement amount.
See Our Sources· 1 primary source
Cases
Examples
Sense 2
2
modify or adapt
To allocate particular assets in proportionate or disproportionate shares, value trust property, and adjust for resulting differences in valuation on distribution of trust property or termination of a trust.
To allocate particular assets in proportionate or disproportionate shares, value trust property, and adjust for resulting differences in valuation on distribution of trust property or termination of a trust.
Each sense below has its own examples, sources, and questions.
1
Nonlawyer Adjuster Fee Dispute
Anthony Arnold, a nonlawyer working for an insurance company, inspected a policyholder's fire damage, calculated the covered loss amount, and negotiated a reduced payout with the claimant. He then sought to collect a contingent fee for his services under a state statute permitting nonlawyer adjusters. The court refused to enforce the fee contract because his activities constituted the practice of law.
2 common questions
Students Frequently Ask...
What activities by an insurance adjuster constitute the unauthorized practice of law?
Determining the amount of an insured loss, negotiating settlement of a claim, and charging a contingent fee for that work qualify as the practice of law. A statute that permits nonlawyers to perform those tasks without judicial oversight is unconstitutional when the state constitution reserves authority over the practice of law to the courts.
Supporting sources
Can a nonlawyer adjuster enforce a contingent-fee contract for claim-settlement services?
No. When the adjuster's work amounts to the practice of law, courts will not enforce fee agreements for those services even if a statute appears to authorize the conduct.
Supporting sources
Examples5
Remedy Tailored to Violation
Amelia Amari sued federal agents after an unlawful search of her apartment. The court recognized an implied cause of action under the Fourth Amendment and crafted damages relief to compensate her for the specific invasion of rights that occurred.
Bivens v. Six Unknown Named Agents of the Federal Bureau of Narcotics403 U.S. 388, 91 S.Ct. 1999, 29 L.Ed.2d 619 (1971)
On the morning of November 26, 1965, agents of the Federal Bureau of Narcotics entered Webster Bivens's apartment in the Bronx.
The agents broke open the door, handcuffed Bivens in front of his wife and young children, and thoroughly searched the apartment. They then transported Bivens to the federal courthouse in Brooklyn, where he was interrogated, booked, and subjected to a visual strip search.
Several days later Bivens was released on his own recognizance, and he was never indicted or prosecuted for any offense. Bivens filed suit in the United States District Court for the Eastern District of New York against the six agents in their individual capacities. His complaint sought fifteen thousand dollars in damages from each agent and alleged that the arrest and search were effected without a warrant, that unreasonable force was employed, and that the arrest was made without probable cause. Bivens claimed to have suffered great humiliation, embarrassment, and mental suffering as a result of the agents' conduct.
The District Court dismissed the complaint on the ground that it failed to state a cause of action. The United States Court of Appeals for the Second Circuit affirmed the dismissal. The Supreme Court of the United States granted certiorari to review the judgment.
Andre Antoine, a long-term resident facing removal, petitioned the Attorney General for suspension of deportation. The proceeding required the agency to evaluate whether to change his immigration status to that of a lawful permanent resident.
Immigration & Naturalization Service v. Jagdish Rai Chadha462 U.S. 919, 954 n. 16, 103 S.Ct. 2764, 2785 n. 16, 77 L.Ed.2d 317
In 1966 Jagdish Rai Chadha, an East Indian born in Kenya who held a British passport, was lawfully admitted to the United States on a nonimmigrant student visa that expired on June 30, 1972. In October 1973, the District Director of the Immigration and Naturalization Service informed Chadha that he had remained longer than permitted and was therefore deportable. Chadha conceded deportability but applied for suspension under section 244(a)(1) of the Immigration and Nationality Act of 1952.
On June 25, 1974, an Immigration Judge acting on behalf of the Attorney General suspended Chadha's deportation and adjusted his status to permanent resident after finding that he satisfied the statutory criteria of seven years' continuous presence, good moral character, and extreme hardship. A report of the suspension was transmitted to Congress as required by the Act.
On December 16, 1975, the House of Representatives passed a resolution disapproving the suspension for Chadha and five other aliens on the ground that they did not meet the statutory requirements, particularly as to hardship.
Pursuant to the House resolution, the Immigration Judge reopened the deportation proceedings. Chadha moved to terminate them on constitutional grounds, but the Immigration Judge ruled that he lacked authority to declare the resolution unconstitutional and ordered Chadha deported. Chadha appealed to the Board of Immigration Appeals, which likewise held that it had no authority to pass on the constitutionality of the resolution and dismissed the appeal.
Chadha then filed a petition for review in the United States Court of Appeals for the Ninth Circuit. The Immigration and Naturalization Service appeared and urged the court to hold the House resolution unconstitutional. After inviting briefs from the Senate and House as amici curiae, the Court of Appeals held the resolution unconstitutional because it was a legislative act that failed to satisfy the requirements of Article I, sections 1 and 7, and set aside the deportation order.
The Supreme Court granted certiorari in the consolidated cases to address the constitutional question.
Rights Exercise by Surrogate
Albert Allen's family sought to discontinue artificial nutrition for him after he entered a persistent vegetative state. The court considered how constitutional liberty interests could be exercised through a guardian when the patient could no longer decide for himself.
Cruzan by Cruzan v. Director, Missouri Dept, of Health497 U.S. 261, 277 (1990)
On the night of January 11, 1983, Nancy Beth Cruzan lost control of her car as she traveled down Elm Road in Jasper County, Missouri. The vehicle overturned, and Cruzan was discovered lying face down in a ditch without detectable respiratory or cardiac function. Paramedics were able to restore her breathing and heartbeat at the accident site, and she was transported to a hospital in an unconscious state. An attending neurosurgeon diagnosed her as having sustained probable cerebral contusions compounded by significant anoxia. The Missouri trial court found that permanent brain damage generally results after six minutes in an anoxic state, and it was estimated that Cruzan was deprived of oxygen from twelve to fourteen minutes.
She remained in a coma for approximately three weeks and then progressed to an unconscious state in which she was able to orally ingest some nutrition. Surgeons implanted a gastrostomy feeding and hydration tube in Cruzan with the consent of her then husband. Subsequent rehabilitative efforts proved unavailing. She now lies in a Missouri state hospital in what is commonly referred to as a persistent vegetative state in which a person exhibits motor reflexes but evinces no indications of significant cognitive function. The State of Missouri is bearing the cost of her care.
After it had become apparent that Nancy Cruzan had virtually no chance of regaining her mental faculties, her parents Lester and Joyce Cruzan, who serve as coguardians, asked hospital employees to terminate the artificial nutrition and hydration procedures. All agree that such a removal would cause her death. The employees refused to honor the request without court approval. The parents then sought and received authorization from the state trial court for termination. The trial court found that a person in Nancy's condition had a fundamental right under the State and Federal Constitutions to refuse or direct the withdrawal of death prolonging procedures. The court also found that Nancy's expressed thoughts at age twenty-five in conversation with a housemate friend suggested that given her present condition she would not wish to continue on with her nutrition and hydration.
The Supreme Court of Missouri reversed by a divided vote. The court recognized a right to refuse treatment embodied in the common-law doctrine of informed consent but expressed skepticism about the application of that doctrine in the circumstances of this case. The court found that Cruzan's statements to her roommate regarding her desire to live or die under those conditions were unreliable for determining her intent and thus insufficient to support the coguardians' claim to exercise substituted judgment on Nancy's behalf. It rejected the argument that Cruzan's parents were entitled to order the termination of her medical treatment, concluding that no person can assume that choice for an incompetent in the absence of the formalities required under Missouri's Living Will statutes or the clear and convincing inherently reliable evidence absent here.
The Supreme Court granted certiorari to consider the question whether Cruzan has a right under the United States Constitution which would require the hospital to withdraw life-sustaining treatment from her under these circumstances.
Burden Allocation in Defense
Alexis Archer was charged with murder and raised an extreme emotional disturbance defense. The state statute placed the burden on her to prove the mitigating circumstance by a preponderance of the evidence rather than requiring the prosecution to disprove it.
Patterson v. New York432 U.S. 197, 97 S.Ct. 2319, 53 L.Ed.2d 281
On December 27, 1970, Gordon Patterson shot and killed John Northrup in Glens Falls, New York. After a brief and unstable marriage, Patterson had become estranged from his wife Roberta. Roberta had resumed an association with Northrup, a neighbor to whom she had been engaged before her marriage to Patterson.
Patterson borrowed a rifle from an acquaintance and went to the residence of his father-in-law. There he observed his wife through a window in a state of semiundress in Northrup's presence. He entered the house and killed Northrup by shooting him twice in the head. Patterson was charged with second-degree murder.
At his jury trial in Warren County Court, Patterson raised the affirmative defense of extreme emotional disturbance and presented psychiatric evidence tending to show that he had been extremely emotionally disturbed when he killed Northrup. The jury was instructed that the prosecution had the burden of proving beyond a reasonable doubt each element of the crime of murder. The defendant had the burden of proving the affirmative defense by a preponderance of the evidence.
The jury convicted Patterson of second-degree murder. The Appellate Division affirmed the conviction. While appeal to the New York Court of Appeals was pending, this Court decided Mullaney v. Wilbur. The New York Court of Appeals nevertheless affirmed, distinguishing the Maine statute at issue in Mullaney and holding that New York's allocation of the burden of proof on the affirmative defense was consistent with due process. The United States Supreme Court granted certiorari limited to the question whether the burden of proof placed on the defendant by New York law is consistent with the Due Process Clause of the Fourteenth Amendment.
Regulation of Land Use Benefits
Aether Technologies owned Grand Central Terminal and challenged New York City's landmark preservation rules that limited its ability to build above the station. The Court evaluated whether the restrictions went too far in reallocating economic benefits and burdens among property owners.
Penn Central Transportation Co. et al. v. New York City438 U.S. 104, 98 S.Ct. 2646, 57 L.Ed.2d 631 (1978)
In 1965 New York City enacted the Landmarks Preservation Law, which created an eleven-member Landmarks Preservation Commission and authorized it to designate buildings at least thirty years old that possess special historical or aesthetic interest.
The law required owners of designated landmarks to obtain Commission approval before altering exterior architectural features and imposed an affirmative duty to keep those features in good repair. In August 1967 the Commission designated Grand Central Terminal a landmark and the city tax block it occupies a landmark site; the Board of Estimate confirmed the designation the following month.
Penn Central Transportation Co. and its affiliates owned the Terminal, an eight-story Beaux-Arts structure completed in 1913 that served as the main station for the New York Central and Harlem lines. On January 22, 1968, Penn Central entered a fifty-year renewable lease with UGP Properties, Inc., under which UGP agreed to construct a multistory office building cantilevered above the Terminal and to pay Penn Central at least three million dollars annually after construction.
Penn Central and UGP submitted two plans prepared by architect Marcel Breuer: Breuer I, a fifty-five-story tower resting on the Terminal roof, and Breuer II Revised, a fifty-three-story building that would have removed part of the 42d Street facade. After four days of hearings at which over 80 witnesses testified, the Commission denied this application as to both proposals.
Penn Central filed suit in New York Supreme Court, Trial Term, seeking a declaratory judgment, injunctive relief, and damages for a temporary taking. The trial court granted the injunctive and declaratory relief. The Appellate Division reversed, holding that Penn Central had failed to prove deprivation of all reasonable beneficial use. The New York Court of Appeals affirmed, concluding that the Terminal could still earn a reasonable return and that transferable development rights provided significant compensation. The Supreme Court noted probable jurisdiction.
1 common questions
Students Frequently Ask...
How does the term adjust appear in constitutional remedies analysis?
Courts have long recognized that when federally protected rights are violated, judges must shape available relief to provide necessary redress, including the creation of implied damages actions.
Supporting sources
438 U.S. 104, 98 S.Ct. 2646, 57 L.Ed.2d 631 (1978)
…see, e. g. , United States v. Causby , 328 U. S. 256 (1946), than when interference arises from some public program adjusting the benefits and burdens of economic life to promote the common good. “Government hardly could go on if to some extent values incident to property could not be diminished without paying…